| NPI | 1427071026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 005850) |
| Additional Taxonomies | 2081H0002X (Licence: AZ 005850) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AZ 005850) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-07-25 |